Real Talk: Time to Talk About M-O-N-E-Y

What is HSA?

HSA stands for Health Savings Account, a type of savings account that lets you set aside funds to pay for qualified medical expenses. HSAs are often available as a part of health insurance plans, though banks and credit unions offer them, too.

What can I buy with an HSA?

You can buy a lot more with your HSA funds than you think: menstrual products, over-the-counter medicines, sunscreen, and travel to and from medical appointments are just some of the things you can buy with an HSA.

Is HSA worth it?

Whether an HSA is worth it is really dependent on your needs. There are some nice advantages associated with it, though. You may be able to lower your out of pocket costs for medical needs. Plus, the funds are not taxed, so you may be able to save more. Unlike an FSA (Flexible Spending Account), HSA funds roll over year-over-year, so you don't have to worry about it expiring.

Should I max my HSA?

Maxing out your HSA to your account's annual maximum amount via monthly contributions can be beneficial if your goals are to save money and limit out of pocket costs for medical care. You can also opt to invest some of your HSA funds, which can be a smart decision for saving for things like family planning or retirement.

Sunscreen

Per Cigna, sunscreen counts as a reimbursable HSA purchase. SPF is super important for skin cancer prevention, plus wearing it regularly can reduce signs of aging – a win-win!

Hatch Alarm Clock

The famed Hatch Restore alarm clock is both HSA and FSA eligible. It's a superb tool for going to bed soundly and waking up feeling refreshed as ever!

Period Underwear

Menstrual care and feminine hygiene products are also HSA eligible. Cigna says this category may include tampons, pads, liners, cups, sponges, and similar items, like period underwear!

Theragun

This luxurious massage gun is both FSA and HSA eligible! It's truly life-changing for relieving muscle soreness and tightness. Therabody's other devices like the Theragun PRO Plus, Theragun Sense, and Theragun Relief are also eligible.

Oura Ring

This fitness tracker ring is FSA and HSA eligible – it can help you keep tabs on your sleep, activity, stress, heart rate and more.

Breathing Strips

According to Cigna, breathing strips are HSA eligible, plus you don't need a doctor's prescription for reimbursement.

Electric Toothbrush

Electric toothbrushes are HSA eligible and reimbursable with a medical diagnosis. This model in particular cleans way better than a regular toothbrush, expertly supporting your oral health.

Essential Oils

Essential oils are HSA-covered with a medical diagnosis. Certain oils can help relieve stress, anxiety, physical pain, and nausea, and aid in better sleep.

Hand Sanitizer

Hand sanitizers of any kind are also surprisingly HSA eligible. We love these sprays from Touchland because they're cute, easily portable, and smell delicious.

Humidifiers

Humidifiers are indeed HSA eligible – the moisture they put out into the surrounding air can relieve respiratory issues, common colds, and even reduce snoring.

Air Purifiers

Similarly, air purifiers are eligible because they can help remove airborne contaminants and viruses that cause allergies and disease.

Spa Trips

In the case you're prescribed a lovely visit to a spa or resort by a physician for medical treatment, the only part that's covered by HSA are the services you receive while you're there. The cost of transportation is not eligible for reimbursement.

Blue Light Glasses

Blue light glasses are covered by HSA; lenses like these block out blue light from screens which helps prevent eye strain and fatigue.

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A post shared by Josephine Anderson (@fosterthevalley)

Josephine Anderson, who posted a video on her Instagram @fosterthevalley, outlined the costs of her uncomplicated vaginal birth, and TBH, it was shocking.

The financial breakdown of her experience (with Cigna for insurance):

• Routine office visits (including 2 ultrasounds): $1,266
• Labs: $3,440.81
• NIPT genetic testing: $15,319.36
• Anatomy scan: $1,270
• RhoGam: $360
• Hospital for mom: $23,722.10
• Hospital for baby: $7,402.80
• OBGYN for delivery: $5,000
• Epidural: $5,720
• Breastfeeding support: $2,589.78
• Pediatrician: $209

Josephine’s video warranted thousands of comments, most of which were appalled by the costs of her experience:

“This needs to be shared in SexEd classes,” one commenter wrote.

“The US medical system is BROKEN,” another said.

“And people are still confused why more women are choosing to remain child free… we literally can’t afford it,” another user commented.

Brit + Co spoke with Wendy Colson RN, IBCLC and CEO/Founder of BOOBIE Superfoods to gauge if Josephine’s costs were typical for the care she received. Colson has significant insight into how insurance works not only from an employer’s perspective, but from personal experience as a patient with breast cancer.

“The $4,788.98 net amount she mentions is realistic given that her deductible was $3,000. If she had chosen a plan with a $1,000 deductible – which is a common ceiling for good coverage – the same scenario would have cost her around $2,789,” Colson said. “The video highlights the importance of understanding what you're getting with an insurance plan, especially when you anticipate major life events like childbirth.”

Colson primarily attributes unanticipated costs for medical care (like in Josephine’s case) to patients that choose their insurance plans with, well, no real plan.

“Many [people] opt for the [plan] with the lowest paycheck deductions without fully evaluating the benefits,” Colson said.

There’s often a tradeoff between paying less per paycheck and receiving your desired benefits: for example, if you elect to contribute less money towards your insurance per paycheck, you may end up paying more out of pocket for things like doctor’s office visits and prescriptions.

“Making an informed choice is key to saving money in the long run,” Colson continued. “In short, it's crucial to consider both the immediate costs (like paycheck deductions) and the potential future costs (like deductibles and copays) when choosing an insurance plan.”

Another major cost Josephine mentions in her video was 12 weeks of unpaid maternity leave, which cost her a total of $18,000 (in lost income).

Per the passing of the Family and Medical Leave Act (FMLA) in 1993, moms have a legal right to up to 12 weeks of unpaid maternity leave. The U.S. Department of Labor notes that the act was designed to help employees balance their work and family responsibilities, accommodate the legitimate interests of employers, and promote equal employment opportunity for men and women.

It all sounds great until you realize the time off is indeed unpaid, which doesn't really aid in the amount of money parents end up owing after all is said and done in the pregnancy and childbirth processes.

Only 13 states plus the District of Columbia offer paid maternity leave. When you compare the United States’ laws to that of other industrialized nations, they don’t exactly measure up.

Colson says Sweden’s maternity leave policy is “one of the most generous,” offering 390 days of paid parental leave (shared between parents) and 80% of wages covered for a significant portion of the leave. In Germany, mothers are entitled to 14 weeks of maternity leave plus a tax-free, income-based allowance straight from their insurance provider.

Though it’s likely that US laws will never be that generous in terms of paid maternity leave, there are a few things you can do to make the blow of medical costs hurt a little less, says Colson.

“My advice is to be your own advocate,” she says. “If you’re planning to have a baby, start by understanding what your state provides in terms of paid leave to avoid surprises after delivery.”

To keep the cost of having your baby (if you’re planning to have one) transparent and free of surprises, Colson recommends:

• Asking your physician’s office for a detailed breakdown of insurance billing codes, including:
  • Office visits
  • Lab work
  • Epidural (and the anesthesiologist’s separate fee)
  • Hospital admissions
  • Specialist consultations during admission
  • Optional procedures like circumcision, if desired
• Email the insurance billing codes to your insurance provider, who can help calculate your out-of-pocket costs and deductible

“Having a baby is priceless,” Colson says. “By planning ahead – understanding your insurance options, healthcare costs, and available benefits – you can ensure peace of mind and focus on what truly matters: your growing family.”

Venice, Italy

Bali, Indonesia

Once an idyllic paradise, Bali now suffers from traffic congestion, environmental degradation, and overcrowded beaches. The island’s resources are strained under the weight of mass tourism, but there are efforts underway to promote sustainability like putting a moratorium on new hotels.

Machu Picchu, Peru

Overtourism has led to erosion and damage to this ancient Incan citadel. A quota system and mandatory guides are helping preserve this popular South American destination.

Tulum, Mexico

Once a tranquil paradise known for its pristine beaches, ancient Mayan ruins, and eco-chic vibe, Tulum has become a cautionary tale of overtourism. The surge in popularity, fueled by Instagram-worthy scenery, has brought overcrowding, environmental strain, and rising costs. The Guardianreported that locals are being pushed out by developers and despite the thinking that tourism helps local communities, poverty nearly doubled between 2015 and 2020. Local ecosystems, including fragile mangroves and coral reefs, are threatened by unchecked construction and pollution too. The local ruins have implemented stricter rules like no food or drink to limit trash and environmental impact from tourists.

Santorini, Greece

Instagram fame has turned this once-serene island into a tourist hotspot. Narrow streets are perpetually clogged, and locals are struggling with soaring costs of living due to tourism demand. The government has since capped the number of daily cruise ship visitors to keep overtourism at bay.

Cinque Terre, Italy

Known for its colorful cliffside villages and breathtaking coastal views, these once-quiet fishing towns now see millions of visitors annually, way more than they can handle. To combat issues like congestion and cruise ships, local authorities have introduced visitor caps and encourage sustainable travel to protect Cinque Terre’s charm.

Reykjavík, Iceland

Is there anyone not going to Iceland these days? A small country with breathtaking landscapes, Iceland has been overwhelmed by tourists flocking to Instagram-famous sites like the Blue Lagoon and Diamond Beach. It's best to travel during the off season (November to April) and travel to lesser known spots like the Sturlungalaug hot spring.

Maya Bay, Thailand (Phi Phi Islands)

This iconic beach, popularized by the DiCaprio film The Beach, suffered ecological devastation from hordes of visitors and anchored boats. Coral reefs were destroyed, and the beach was closed for years to allow recovery. It has since reopened after a huge revitalization project, but they have introduced visitor caps.

Kyoto, Japan

Traditionally quiet streets of this ancient capital city now teem with tourists during peak season. An increase in litter from tourists has required the city to install more trash bins to handle the crowds, and peaceful geishas are often chased down for photos. To mitigate the problem, Kyoto is considering running special buses to popular sites to reduce overcrowding, and temples and shrines are encouraging visitors to come early in the morning.

Mount Everest, Nepal

The ultimate challenge for adventurers, Mount Everest has experienced overcrowding on the slopes and at base camps, leading to dangerous conditions, with litter and human waste piling up on the mountain. Permits are now harder to get, and stricter regulations for climbers are being enforced.

Dubrovnik, Croatia

The Game of Thrones effect brought an influx of fans to this medieval city. Overcrowded streets and cruise ship arrivals have made it difficult to appreciate its beauty. The local government is taking steps to limit daily visitors and impose stricter cruise ship regulations.

Lisbon, Portugal

Short-term rentals dominate the housing market now, thanks to affordable flights and the digital nomad craze. This has led to skyrocketing rents and displaced locals. Historic neighborhoods are inundated with tourists, making them less charming too. Everything from public transport to waste management struggles to keep pace with the influx. I went in December and it still felt a bit like Disneyland. Douro Valley and Madeira might be more favorable destinations any time of year.